Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04107 | Date 09/03/2019 |
| Token No | SM/19-20/3198 22/05/2019 | Serial | 039 Last Visit: 07/11/2025 |
| Patient Name | Mrs. SHYAMALI PAL | Contact No | 9143466951 |
| Address | 32/20 CHATRA TETULTALA BAJAR, BAIDYABATI(M) | Age | 60 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||